Posttraumatische Störungen bei Patienten mit Erkrankungen aus dem schizophrenen Formenkreis

Article


Schäfer, I., Eiroá-Orosa, F., Schroeder, K., Harfst, T. and Aderhold, V. 2015. Posttraumatische Störungen bei Patienten mit Erkrankungen aus dem schizophrenen Formenkreis. Der Nervenarzt.
AuthorsSchäfer, I., Eiroá-Orosa, F., Schroeder, K., Harfst, T. and Aderhold, V.
Abstract

Background
The findings of international studies suggest high rates of interpersonal violence and posttraumatic stress disorder (PTSD) among patients with schizophrenia spectrum disorders. Only few studies, however, have so far been conducted in the German-speaking countries.

Objectives
The aim of our study was to determine the prevalence of lifetime experiences of interpersonal violence and comorbid PTSD among inpatients in a German university hospital.

Method
In N = 145 consecutively admitted patients with schizophrenia spectrum disorders (67 % male) the structured trauma interview (STI) was used to assess experiences of interpersonal violence and the structured clinical interview for DSM-IV (SCID) to assess comorbid PTSD.

Results
Sexual violence under the age of 16 years was reported by 17 % of the patients (women 27 %, men 12 %). Approximately one third (32 %) reported physical violence by parental figures (women 38 %, men 29 %). At least one form of early violence (sexual or physical) was reported by half of the women (48 %) and one third of the men (34 %). Negative sexual experiences later in life were reported by 17 %, physical violence by 38 % and at least one of these forms by 48 % of the patients. In total two thirds of all patients (66 %) reported experiences of violence during their lifetime. The prevalence of acute PTSD was 12 %. Another 9 % of patients had a subsyndromal PTSD.

Conclusion
The present study confirmed the high rates of experiences of interpersonal violence and comorbid PTSD in a German sample of patients with schizophrenia spectrum disorders. Violence and it’s consequences should therefore be routinely assessed and the full spectrum of trauma-specific therapies should be integrated into the treatment of this group of patients.

JournalDer Nervenarzt
ISSN1433-0407
0028-2804
Year2015
PublisherSpringer Verlag
Accepted author manuscript
License
CC BY
Web address (URL)http://dx.doi.org/10.1007/s00115-014-4237-x
Publication dates
Print30 May 2015
Publication process dates
Deposited15 Jun 2015
Accepted30 May 2015
Copyright informationThe final publication is available at Springer via http://10.1007/s00115-014-4237-x
Additional information

This article is in German.

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